Three years of experience with a mobile angiograph in a center without on-site surgical back-up

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dc.contributor.authorAkdemir, Ramazan
dc.contributor.authorÖzhan, Hakan
dc.contributor.authorYazıcı, Mehmet
dc.contributor.authorGündüz, Hüseyin
dc.contributor.authorErbilen, Enver
dc.contributor.authorAlbayrak, Sinan
dc.contributor.authorUyan, Cihangir
dc.date.accessioned2020-04-30T23:34:44Z
dc.date.available2020-04-30T23:34:44Z
dc.date.issued2004
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.descriptionWOS: 000223257700003en_US
dc.descriptionPubMed: 15387488en_US
dc.description.abstractBackground: The safety of percutaneous coronary interventions (PCI) performed in centers without surgical back-up is controversial, but data from several western countries indicates that this approach can be extended to a larger number of hospitals. We assessed the safety and efficacy of performing angiography and PCI with a mobile C-arm angiograph in a center without on-site surgical back-up, and compared our data with that reported in the literature. Methods: We retrospectively analyzed 1485 coronary angiograms and 172 PCI procedures performed in our center from January 2001 to May 2003 using a mobile angiograph. Half of the patients that have undergone PCI had refractory unstable angina and one-third had acute myocardial infarction (AMI). The safety of PCI was assessed by the analysis of in-hospital complications (death, urgent need for repeated revascularization, AMI with or without ST elevation and stroke).The PCI procedures were considered effective when the post-PCI residual stenosis did not exceed 50% with distal Thrombolysis in Myocardial Infarction (TIMI) grade 3 flow. Results: In patients who underwent diagnostic coronary angiography there were no deaths, anaphylatic shock, acute renal failure or major ischemic complications. In patients who underwent PCI, the mortality rate was 1.1% (2 deaths), two patients (1.1%)developed acute MI with ST segment elevation, one patient (0.5%) underwent repeated PCI and three patients (1.7%) were referred for urgent by-pass surgery. Conclusions: Diagnostic and PCI procedures can be safely performed using a mobile angiograph. The efficacy and safety requirements of PCI, performed in a center without an on-site surgical back-up facility using a mobile angiograph were similar to other data reported in the literature.en_US
dc.identifier.doi10.5144/0256-4947.2004.253en_US
dc.identifier.endpage258en_US
dc.identifier.issn0256-4947
dc.identifier.issn1319-9226
dc.identifier.issue4en_US
dc.identifier.startpage253en_US
dc.identifier.urihttps://doi.org/10.5144/0256-4947.2004.253
dc.identifier.urihttps://hdl.handle.net/20.500.12684/5213
dc.identifier.volume24en_US
dc.identifier.wosWOS:000223257700003en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherK Faisal Spec Hosp Res Centreen_US
dc.relation.ispartofAnnals Of Saudi Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectpercutaneous coronary interventionsen_US
dc.subjectmobile angiographyen_US
dc.subjectcoronary artery diseaseen_US
dc.subjectangioplastyen_US
dc.subjectTurkeyen_US
dc.titleThree years of experience with a mobile angiograph in a center without on-site surgical back-upen_US
dc.typeArticleen_US

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